Active NPI
Real Time Inc
- Sonography Radiologic Technologist
- Wasilla, AK
National Provider Identifier
1255824801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Legal business name
- REAL TIME INC
- Practice address
- 1700 E Bogard Rd Ste A200
Wasilla, AK 99654 - Phone
- (907) 357-2158
- Fax
- (907) 357-5849
- NPI assigned
- Jun 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer L Sydnam RDMS RVT RT
- Title
- Owner/Sonographer
- Phone
- (907) 357-2158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | Primary |
Addresses
Primary practice location
1700 E Bogard Rd Ste A200
Wasilla, AK 99654
Mailing address
1700 E Bogard Rd Ste A200
Wasilla, AK 99654-6569
Phone (907) 357-2158
National Provider Directory
National Provider DirectoryLocations
1700 E Bogard Rd
Ste A200
Wasilla, AK 99654
Phone (907) 290-9595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528416000000",
"number": "1255824801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 E BOGARD RD STE A200",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546569",
"telephone_number": "907-357-2158",
"fax_number": "907-357-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E BOGARD RD STE A200",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-357-2158",
"fax_number": "907-357-5849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAL TIME INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-08",
"last_updated": "2018-06-08",
"status": "A",
"authorized_official_last_name": "SYDNAM RDMS RVT RT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/SONOGRAPHER",
"authorized_official_telephone_number": "907-357-2158"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.